NPI | 1649468315 |
---|---|
Former Name | ALLISON KRIVARCHKA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 10577) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1493) |
Enumeration Date | 2007-10-09 |
Last Update Date | 2020-10-21 |